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Originally Posted by Kyobanim
Staples? Are they afraid you're brains are going to leak out?
On a more serious note . . .
What is the factor that determines if you will get staples or stitches?
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On a scalp wound staples are quick, easy, and effective. Unless you are a "bald head" model, the frankenscar is pretty irrelevant because of the mop that traditionally covers it. I tend to avoid staples in blacks due to the close hair styles that are popular in that population and their scar is more in the open.
Other very large wounds (C-section) can also be optionally closed with staples. If there is a significant scar concern, plastics guys get involved with scar revision processes and procedures.
In general, the "better" you want to scar to look, the smaller suture material you use (strength of the suture for the site of injury is also a factor here) and the more time it is going to take to close it.
There are also various techniques to minimize scarring. The best cosmetic result is always considered-but areas like the face are generally given more initial consideration.
example:
I sewed a guys eyelid back together the other day and used 7-0 suture-about the diameter (and strength) of a human hair.
General face stuff usually 6-0, (maybe 2lb test fishing line)
Cuts on arms and such, 4-0 suture, like 6lb test fishing line
Large gaping wounds of legs and scalp that can be primarily closed (after closing the inner layers with absorbable suture)-skin closure by staples or heavier suture (10-12lb test).
SS Feel free to jump in here and monkey stomp my approach if needed
PA